Individual
DR. BRUCE BRIAN FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
260 FORT SANDERS WEST BLVD, KNOXVILLE, TN 37922-3355
(865) 558-4400
(865) 769-4536
Mailing address
8320 E WALKER SPRINGS LN STE 200, KNOXVILLE, TN 37923-3120
(865) 769-4500
(865) 769-4501
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1406
TN
208VP0000X
Pain Medicine Physician
1406
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2340066
UNITED HEALTH CARE
TN
01
—
250014223
RAILROAD MEDICARE
TN
05
—
3306949
—
TN
01
—
4028311
BLUE CROSS BLUE SHIELD
TN
01
—
TN01A9
JOHN DEERE HEALTHCARE
TN
01
—
TN01B1
JOHN DEERE HEALTHCARE
TN
Enumeration date
03/14/2006
Last updated
01/14/2026
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